International Journal of Clinical and Experimental Medical Sciences

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Factors Affecting Implementation of Nursing Process Among Nurses Working in Governmental Hospitals, Oromia Region, Ethiopia, 2016: Cross Sectional Study

Received: 08 April 2020    Accepted: 18 May 2020    Published: 09 June 2020
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Abstract

Background: Nursing process used in clinical practice worldwide to deliver quality individualized care to patients and lack of its application can reduce the quality of care. Nursing Process is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness. It has five steps- assessment, diagnosis, planning, implementation, and evaluation. Applying nursing process requires understanding of factors affecting its implementation from the perspective of nurses. Nursing process implementation could be highly influenced by different factors that can lead to poor quality of nursing care, disorganization of the service, conflicting roles, medication error, poor diseases prognosis, readmission, dissatisfaction with the care provided, and increased mortality. These problems are manageable if a nurse can properly implement nursing process. Objective: The main aim of this study was to assess factors affecting implementation of nursing process among nurses in governmental hospitals of Arsi Zone. Materials and Methods: A cross-sectional study was used to conduct on governmental hospitals in Arsi Zone from December- June 2016. Both quantitative and qualitative methods were used. All governmental hospitals in Arsi Zone was used since they were convenient for the study. Numbers of the participants were small, so all those who full fill inclusion criteria were participant in the study. Tools were given to nurse out of the study to check for its validity and adjustment was made according to the feedback obtained before actual data collection. Data was collected using self-administered questionnaire and in-depth interview. Data was analyzed using SPSS 21.0 version. Result: Findings revealed that organizational factors have the highest predictive value in the use of nursing process, followed by practice related factors. Conclusion and Recommendation: The result concluded that the organizational factors have the most important influence on the use of nursing process. It is recommended that the organization should fulfill needed materials which are necessary to provide nursing care. This will enhance nurses’ ability to use nursing process to improve the quality of patient’s care.

DOI 10.11648/j.ijcems.20200603.11
Published in International Journal of Clinical and Experimental Medical Sciences (Volume 6, Issue 3, May 2020)
Page(s) 28-34
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Nursing Process, Nurses, Factors

References
[1] FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA MINISTRY OF HEALTH: Nursing Care Practice Standards A Reference Manual for Nurses and Healthcare Managers in Ethiopia; Version 2.0; Dec 2011 Addis Ababa, Ethiopia.
[2] Kathy Quan RN BSN PHN: The Nursing Process.
[3] State of Connecticut, Department of Developmental Services NURSING STANDARD NURSING PROCESS # NS 09.1 (Replaces 96.1 Nursing Process and 96-2 Nursing Process Components) Date of Issue: March 2009 (Revised 9/20/13) Effective Date: October 1, 2013.
[4] Daniela Couto Carvalho Barra1, Grace Teresinha Marcon Dal Sasso: THE NURSING PROCESS ACCORDING TO THE INTERNATIONAL CLASSIFICATION FOR NURING PRACTICE: AN INTEGRATIVE REVIEW; 2012 Abr-Jun; 21 (2).
[5] Fisseha H., Fessehaye A., Fikadu B. Semarya B. and Alemseged A.: Application of Nursing Process and Its Affecting Factors among Nurses Working in Mekelle Zone Hospitals, Northern Ethiopia, Department of Nursing, Sheba University College, Mekelle, Ethiopia, Jimma University, Jimma, Ethiopia, Volume 2014 (2014), Article ID 675212.
[6] K. Jooste, DLitt et Phil: IMPLEMENTING THE NURSING PROCESS IN GYNAECOLOGY WARDS IN NAMIBIA; Africa Journal of Nursing and Midwifery 12 (1) 2010 pp. 87-99.
[7] Mulugeta A. Assessment of Factors Affecting Implementation of Nursing Process Among Nurses in Selected Governmental Hospitals, Addis Ababa, Ethiopia; Cross Sectional Study, Aseratie et al., J Nurs Care 2014, 3: 3 http://dx.doi.org/10.4172/2167-1168.1000170.
[8] Zewdu S., Abera M. Determinants towards Implementation of Nursing Process: College of Medicine and Health Sciences, Arbaminch University, Arbaminch, Ethiopia American Journal of Nursing Science 2015; 4 (3): 45-49 Published online April 14, 2015 (http://www.sciencepublishinggroup.com/j/ajns) doi: 10.11648/j.ajns.20150403.11 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Email address Mershaabera@gmail.com (Abera M.), WERET83Z@outlook.Com (Zewdu S.).
[9] FLORENCE. O. ADEYEMO1 & ADENIKE A A E OLAOGUN: FACTORS AFFECTING THE USE OF NURSING PROCESS IN HEALTH INSTITUTIONS IN OGBOMOSO TOWN, OYO STATE; International Journal of Medicine and Pharmaceutical Sciences (IJMPS) ISSN 2250 – 0049 Vol. 3, Issue 1, Mar 2013, 91-98 © TJPRC Pvt. Ltd. Department of Nursing, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Oyo, Nigeria; Department of Nursing, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.
[10] Joel A., 1Bitrus D., 2Dume M., 2Olayinka O. and Adeyanju B.: Evaluation of the utilization of nursing process and patient outcome in psychiatric nursing: Case study of psychiatric Hospital Rumuigbo, Port Harcourt; Pelagia Research Library Advances in Applied Science Research, 2013, 4 (5): 34-43 ISSN: 0976-8610 CODEN (USA): AASRFC; Department of Nursing Science, University of Ilorin, Ilorin, Nigeria; Faculty of Nursing, Niger Delta University, Bayelsa State, Nigeria.
[11] Manal H. and Hala M.: BARRIERS AND FACILITATORS FOR EXECUTION OF NURSING PROCESS FROMNURSES' PERSPECTIVE; ISSN 2320-5407 International Journal of Advanced Research (2014), Volume 2, Issue 2, 300-31 5;. Lecturer of Medical Surgical Nursing, Benha University, Egypt Assistant Professor, of Medical Surgical Nursing, College of Nursing, Cairo University.
[12] Miriam C., Atieno W., Chris P.: Mainstreaming Kenya-Nursing Process in clinical settings: The case of Kenya; International Journal of Africa Nursing Sciences journal homepage: www.elsevier.com/locate/ijans; School of Nursing Sciences, University of Nairobi, P. O. Box 38607-00100, Nairobi, Kenya; Ministry of Health, P. O. Box 30016-00100, Kenya.
[13] Sean P. Clarke; Nancy E. Donaldson. Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health: Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
[14] Tesfaye A. (BScN): Assessment on factors affecting implementation of n u r s i n g p r o c e s s a m o n g n u r s e s i n s e l e c t e d governmental Bale Zone Hospitals, ETHIOPIA; ADDIS ABABA university college of health science department of nursing and midwifery postgraduate program; june 2014, ADDIS ABABA, ETHIOPIA.
Author Information
  • Department of Nursing, College of Health Sciences, Arsi University, Assela, Ethiopia

  • Department of Nursing, College of Health Sciences, Arsi University, Assela, Ethiopia

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  • APA Style

    Birhanu Alemu, Tolessa Kebede. (2020). Factors Affecting Implementation of Nursing Process Among Nurses Working in Governmental Hospitals, Oromia Region, Ethiopia, 2016: Cross Sectional Study. International Journal of Clinical and Experimental Medical Sciences, 6(3), 28-34. https://doi.org/10.11648/j.ijcems.20200603.11

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    ACS Style

    Birhanu Alemu; Tolessa Kebede. Factors Affecting Implementation of Nursing Process Among Nurses Working in Governmental Hospitals, Oromia Region, Ethiopia, 2016: Cross Sectional Study. Int. J. Clin. Exp. Med. Sci. 2020, 6(3), 28-34. doi: 10.11648/j.ijcems.20200603.11

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    AMA Style

    Birhanu Alemu, Tolessa Kebede. Factors Affecting Implementation of Nursing Process Among Nurses Working in Governmental Hospitals, Oromia Region, Ethiopia, 2016: Cross Sectional Study. Int J Clin Exp Med Sci. 2020;6(3):28-34. doi: 10.11648/j.ijcems.20200603.11

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  • @article{10.11648/j.ijcems.20200603.11,
      author = {Birhanu Alemu and Tolessa Kebede},
      title = {Factors Affecting Implementation of Nursing Process Among Nurses Working in Governmental Hospitals, Oromia Region, Ethiopia, 2016: Cross Sectional Study},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {6},
      number = {3},
      pages = {28-34},
      doi = {10.11648/j.ijcems.20200603.11},
      url = {https://doi.org/10.11648/j.ijcems.20200603.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcems.20200603.11},
      abstract = {Background: Nursing process used in clinical practice worldwide to deliver quality individualized care to patients and lack of its application can reduce the quality of care. Nursing Process is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness. It has five steps- assessment, diagnosis, planning, implementation, and evaluation. Applying nursing process requires understanding of factors affecting its implementation from the perspective of nurses. Nursing process implementation could be highly influenced by different factors that can lead to poor quality of nursing care, disorganization of the service, conflicting roles, medication error, poor diseases prognosis, readmission, dissatisfaction with the care provided, and increased mortality. These problems are manageable if a nurse can properly implement nursing process. Objective: The main aim of this study was to assess factors affecting implementation of nursing process among nurses in governmental hospitals of Arsi Zone. Materials and Methods: A cross-sectional study was used to conduct on governmental hospitals in Arsi Zone from December- June 2016. Both quantitative and qualitative methods were used. All governmental hospitals in Arsi Zone was used since they were convenient for the study. Numbers of the participants were small, so all those who full fill inclusion criteria were participant in the study. Tools were given to nurse out of the study to check for its validity and adjustment was made according to the feedback obtained before actual data collection. Data was collected using self-administered questionnaire and in-depth interview. Data was analyzed using SPSS 21.0 version. Result: Findings revealed that organizational factors have the highest predictive value in the use of nursing process, followed by practice related factors. Conclusion and Recommendation: The result concluded that the organizational factors have the most important influence on the use of nursing process. It is recommended that the organization should fulfill needed materials which are necessary to provide nursing care. This will enhance nurses’ ability to use nursing process to improve the quality of patient’s care.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Factors Affecting Implementation of Nursing Process Among Nurses Working in Governmental Hospitals, Oromia Region, Ethiopia, 2016: Cross Sectional Study
    AU  - Birhanu Alemu
    AU  - Tolessa Kebede
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    DO  - 10.11648/j.ijcems.20200603.11
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    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ijcems.20200603.11
    AB  - Background: Nursing process used in clinical practice worldwide to deliver quality individualized care to patients and lack of its application can reduce the quality of care. Nursing Process is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness. It has five steps- assessment, diagnosis, planning, implementation, and evaluation. Applying nursing process requires understanding of factors affecting its implementation from the perspective of nurses. Nursing process implementation could be highly influenced by different factors that can lead to poor quality of nursing care, disorganization of the service, conflicting roles, medication error, poor diseases prognosis, readmission, dissatisfaction with the care provided, and increased mortality. These problems are manageable if a nurse can properly implement nursing process. Objective: The main aim of this study was to assess factors affecting implementation of nursing process among nurses in governmental hospitals of Arsi Zone. Materials and Methods: A cross-sectional study was used to conduct on governmental hospitals in Arsi Zone from December- June 2016. Both quantitative and qualitative methods were used. All governmental hospitals in Arsi Zone was used since they were convenient for the study. Numbers of the participants were small, so all those who full fill inclusion criteria were participant in the study. Tools were given to nurse out of the study to check for its validity and adjustment was made according to the feedback obtained before actual data collection. Data was collected using self-administered questionnaire and in-depth interview. Data was analyzed using SPSS 21.0 version. Result: Findings revealed that organizational factors have the highest predictive value in the use of nursing process, followed by practice related factors. Conclusion and Recommendation: The result concluded that the organizational factors have the most important influence on the use of nursing process. It is recommended that the organization should fulfill needed materials which are necessary to provide nursing care. This will enhance nurses’ ability to use nursing process to improve the quality of patient’s care.
    VL  - 6
    IS  - 3
    ER  - 

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